doi：10.11816/cn.ni.2017-163234•i仑著•三起医务人员发生临床诊断水痘聚集性疫情的调查分析与预防控制效果郭丽萍\曹彬ヽ2,徐潜1，魏栋S刘聪、李刚S王书鹏S王建3,邬巧玲S郝秀萍、赵霞1,赵学军S王颖\王卫华S张璟S郑爱辉、郎琳娜S丁晶宏4(1.中日友好医院医院感染管理办公室2.呼吸与危重症医学科二部3.外科重症监护病房4.院办，北京100029)摘要：目的总结和分析了某综合医院在2016年9—11月发生的三起医务人员临床诊断水痘聚集性疫情的临床特征、流行病学特征以及医院感染控制工作的经验与教训，为临床诊治提供参考依据。方法参考国家疾病预防控制信息报告系统资料，通过电话问询、实地访谈相关人员收集数据，采用描述性统计方法分析12例疫情病例的分布特征及发病原因和疫情控制要点。结果医院感染可能是三起聚集性医务人员发生临床诊断水痘疫情中的两起疫情的高危因素；根据水痘-帯状疱疹病毒的病原学特点和水痘的临床特征，強化规范执行预防和控制水痘在医院内播散的一揽子应急方案；12名曾患水痘的医务人员基本痊愈并重返工作岗位，曾经护理过的患者也都平稳度过了医学观察期，未监测到水痘病例。结论落实标准预防和空气隔离及接触隔离工作制度，同时监测医务人员的水痘免疫状态，可以有效预防控制水痘-帯状疱疹病毒的医院感染。关键词：水痘-帯状疱疹病毒；水痘；带状疱疹病毒；医院感染；培训项目中图分类号：R183文献标识码：A文章编号：1005-4529(2017)09-2152-04InvestigationofthreeclusteringepidemicsofclinicallydiagnosedchickenpoxamonghealthcareworkersandeffectofpreventionandcontrolmeasuresGUOLi-ping，CAOBin,XUQian,WEIDong,LIUCong,LIGang,WANGShu-peng,WANGJian,WUQiao-ling,HAOXiu-ping,ZHAOXia，ZHAOXue-jun,WANGYing，WANGWei-hua,ZHANGJing,ZHENGAi-hui,LANGLin-na,DINGJing-hong(ChinaJapanFriendshipHospital，Beijing100029，China)Abstract:OBJECTIVEToinvestigatetheepidemiologicalcharacteristicsandclinicalfeaturesofthreeclusteringepidemicsofclinicallydiagnosedchickenpoxamonghealthcareworkersinageneralhospitalfromSep2016toNov2016andsummarizetheexperienceandlessonsofcontrolofnosocomialinfectionssoastoprovideguidanceforclinicaldiagnosisandtreatment.METHODSByreferringtoNationalNetworkforDiseaseControlandPreventionandPublicHealthInformationSysteminChina»thedatawerecollectedviatelephonecallinquiriesandonsiteinterviewswithrelatedpersonnel；thedistributioncharacteristicsof12casesofepidemics,causesofepidemics»andkeypointsofcontrolofepidemicswereanalyzedbymeansoidescriptivestatisticalanalysismethod.RESULTSHospital-associatedinfectionmightbeanigh-riskfactorfortwoofthreeclusteringepidemicsofclinicallydiagnosedchickenpoxamongthehealthcareworkers.ApackageofemergencyplansforpreventionandcontrolofspreadofchickenpoxInthehospitalwereintensifiedandimplementedinaccordancewithetiologicalcharacteristicsofvaricella-zostervirusandtheclinicalcharacteristicsofchickenpox.Totally12healthcareworkerswhohadchickenpoxwerebasicallycuredandreturnedtoworkposition,thepatientswhoweretakencarebythehealthcareworkershavepeacefullyspentthemedicalobservationperiod,andnocaseofcnickenpoxhasbeenmonitored.CONCLUSIONItisaneffectivewaytoimplementthestandardprevention,airisolation,andcontactisolationsystemsandmonitortheimmunestateof---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---chickenpoxofthehealthcareworkerssoastocontrolandpreventthenosocomialinfectioncausedbyvaricella-zostervirus.收稿日期：2016-12-11,修回曰期:2017-03-05基金项目：国家科技部中日合作卫生技术人员培训基金资助项目（国科外字2014-3046)通信作者：曹彬，E-mail:Caobin_ben@163.com---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除-...